32 6 38 11 
39 6 71 11 HAZLETON LABORATORIES AMERICA INC
75 7 97 11 9200 LEESBURG TURNPIKE VIENNA VIRGINIA 22180 USA
4 7 21 9 PROJECT SHEET
76 12 83 14 642 149
16 12 32 14 December 13, 1983
50 12 52 13 4
5 12 13 14 DATE ISSUED
36 13 48 14 PROJECT SHEET NO
62 13 73 14 PROJECT NO.
70 14 83 19 
5 14 27 16 STUDY TITLE & PROPOSAL NUMBER
55 15 69 16 PROJECT COORDINATOR
48 15 52 16 3212
73 15 79 16 Sereta
70 15 72 16 D,
6 16 46 18 14-Day Single Dose Subacute Toxicity Study
61 17 68 18 SIGNATURE
5 19 17 20 TEST MATERIAL (S)
54 19 61 20 LOT NO (s)
68 19 78 20 RECEIPT DATE (s)
86 19 94 20 LH NUMBER (s)
22 22 26 23 B121
68 22 76 23 11 18 83
86 22 91 23 21 017
5 27 21 28 PERFORMING DEPARTMENTS
23 27 39 28 (4 COPIES EACH DIRECTOR)
54 27 81 29 ORIGINAL SIGNED PROJECT SHEETS TO PSO
7 28 29 30 Acute/ Dermal Toxicology
61 29 75 31 FIXED DISTRIBUTION:
77 29 87 31 (1 COPY TO EACH)
56 31 69 36 DIR OF LIFE SCIENCES HEALTH SERVICES COMPOUND PREP (TOX) SCIENTIFIC RES (TOX)
80 31 94 36 LAB ANIMAL MEDICINE QUALITY ASSURANCE CONTRACTS Sponsor
5 33 28 34 PROTECTIVE PRECAUTIONS REQUIRED
21 34 34 35 HAZARDOUS COMPOUND
5 36 12 37 EXPLOSIVE
27 36 39 38 CARCINOGEN (OSHA)
54 37 76 40 FOLLOW DEPARTMENT AND COMPANY SAFETY MANUALS
5 38 12 39 FLAMMABLE
28 38 40 40 CARCINOGEN (OTHER)
79 38 80 40 ☑
5 40 14 42 RADIOACTIVE
55 40 68 42 STORAGE CONDITIONS
5 42 20 43 PHYSICAL DESCRIPTION:
57 42 67 43 STORE IN DARK
82 42 89 44 DESSICATOR
15 43 17 44 X
9 44 14 45 SOLID
55 44 71 45 ☑ REFRIGERATOR 8 C
82 44 87 45 FREEZER
28 45 33 46 Brown
9 45 14 46 LIQUID
37 45 41 46 COLOR
57 45 69 46 ROOM TEMPERATURE
82 45 86 47 OTHER
5 46 13 48 PRESSURIZED
57 47 79 48 SPECIAL INSTRUCTIONS WHILE DOSING
6 48 22 50 EXPERIMENTAL PROCEDURES
24 48 77 50 to be performed in Acute /Dermal Toxicology, building 18.
13 54 83 57 This project sheet is issued to correct Project Sheet which was issued on December 6, 1983 to Project Sheet No 3 instead of 2.
12 71 67 73 Material Safety Data Sheet is attached to Project Sheet 1.
89 76 91 85 00860012
6 89 16 90 NO 
